After eating the noodles, Zou Qian wiped his mouth, touched his belly, and asked with great satisfaction: "Xiao Lu, how much does the noodles cost this morning? I'll transfer it to you."

"Teacher Zou, I'm asking you to do this. I don't have much money, so I don't need to give it to you." Lu Chengcheng said.

Zou Qian's face turned serious: "Ni Xin calls me Brother Qian, but you call me Teacher Zou. I am so young?"

Lu Cheng's eyes widened slightly.

"Call me Brother Qian from now on, but since I'm calling you teacher today, it's not your turn to treat me to breakfast no matter what. Tell me quickly, how much it is, and don't harp on it like a bitch." "I'm a northerner and I don't like that." Zou Qian opened the WeChat transfer impatiently.

Lu Chengcheng could only say helplessly: "Thirty-six. Brother Qian."

Zou Qian transferred the money without saying a word, then patted Cao Xiaohe on the shoulder and said, "Xiao Cao, you are very understanding. You did a good job. From now on, you can do the simple debridement and suturing in the department alone."

When Cao Xiaohe heard this, he was immediately overjoyed. Zou Qian finally delegated power to him: "Thank you, Brother Qian."

"But remember to bring Xiao Lu with you. If you can't get over it, he can help you finish it off. I can take a break for a while. I've been hospitalized for six years, and my head is getting big."

Cao Xiaohe's smile immediately stiffened, and he said to himself: MMP.

What do you mean, Lu Cheng finishes it off for me? He is my junior brother, Brother Qian. You can't burn bridges by crossing the river. You will feel weird just after eating the noodles.

Zou Qian ignored Cao Xiaohe's mood, "If Ni Xin hadn't been a girl, Professor Li would have sent her here long ago."

"But now that you two have married, I guess Ni Xin will only be here for a symbolic year, and it will be your turn. Hehe."

Speaking of this, Zou Qian said with some evil humor: "I hope you can find a successor soon, otherwise...hehehehe."

Hearing Zou Qian's words, Cao Xiaohe suddenly felt a chill on his back.

No, Lu Cheng is very likely to go to the orthopedics department in the future, and after Fang Nixin, isn’t the emergency surgeon who takes over his surname Cao?

Zou Qian can do this for six years as a general resident.

I?

Cao Xiaohe immediately had the idea of ​​​​resigning and running away.

Looking at Zou Qian's condition today, you can see how hard it was for him to be hospitalized for six years. I don't know how Zou Qian persisted...

Zou Qian took a long rest today.

No one called him until the afternoon. When he woke up and inquired, he found out that the patient had been picked up by the chief resident of the Department of Orthopedics.

But Zou Qian also enjoyed his leisure time.

Finally in the afternoon, the arthroscopic surgery that the emergency surgery department sent to the central operating room was about to begin.

Fang Nixin and Li Dongshan were already in place, but Yu Youlin didn't care about orthopedics. He basically didn't do such a professional and not particularly urgent surgery, and he just studied his own general surgery.

When Lu Cheng and Cao Xiaohe arrived, it was their turn to lift their legs for disinfection.

This patient was scheduled for knee arthroscopy, knee debridement, and menisplasty or resection.

Disinfection of the lower limbs requires raising the legs, and requires particularly strict aseptic operations. Because Fang Nixin was in charge of everything, Lu Cheng, Cao Xiao and two strong men came in handy.

Finally, after more than twenty minutes, the preparations were done.

Fang Nixin took a deep breath and asked the hand-washing nurse for something very sternly: "A syringe, pump out normal saline, and add an accessory kidney."

The hand-washing nurse has already prepared it and has already drawn it and brought it over.

Fang Nixin quickly performed joint cavity filling and subcutaneous skin pimples.

"sharp knife!"

"Tourist teacher, please record the time." After Fang Nixin said this, Li Dongshan stood directly opposite and supported Fang Nixin's leg in a normal flexed position.

Fang Nixin incised the skin along the small pimple to the outside of the joint capsule, and then used a blunt puncture instrument, that is, straight forceps, to puncture the joint capsule. The operation along the way was quite smooth.

Cao Xiaohe couldn't understand these movements at all, but Lu Cheng looked at them thoughtfully and said to himself.

Fang Nixin's talent is really very good. She actually has no less than intermediate skills in arthroscopy. Is this also a cheat?

Lu Cheng's thinking was confused for a while, and then he immediately turned to surgery.

The arthroscope enters the joint cavity under the protection of the arthroscope sleeve.

Fang Nixin immediately said: "We are now at the patellofemoral joint, which is under the patella. There is no synovial hyperplasia and no synovial folds. There is a defect in the articular cartilage on the femoral surface."

"Teacher, please take a photo."

The Second Xiangya Hospital's arthroscopic surgeries are all equipped with specialized instrument technicians who are responsible for unexpected situations during the operation and take part-time photos. This is mainly because this machine is relatively old-fashioned, so there is no photo button that can be directly controlled by hand.

"Intercondylar fossa, anterior and posterior forks."

"The shape of the front and rear forks is normal and the tension is normal."

"This is the lateral meniscus. The shape of the meniscus is okay, there is no rupture, and the stability is okay." Fang Nixin explained while still exploring.

But when Fang Nixin asked Li Dongshan to change to a position with the calf valgus and the thigh adducted, exposing the medial meniscus plane.

The arthroscope slides over.

A large amount of proliferated, bright red synovial tissue covered the field of view of the arthroscope, and due to the movement of the mirror, the synovium was scratched and a red mirror was set up.

Red mirror means that blood seeps through the entire joint cavity, making the field of vision completely unclear.

Fang Nixin immediately increased the speed of the joint flushing fluid, and used the outlet pipe to discharge water on the opposite side to form a circulation, draining the blood quickly, and her vision became clear.

"Xiao Lu, give me the plasma electric knife." Fang Nixin immediately asked Lu Cheng.

Lu Cheng handed it over, and then Fang Nixin started coagulating and cauterizing the synovial membrane with hands and feet.

Finally, after the synovial membrane is almost cleaned.

The medial lacunae are also exposed in the field of view.

The meniscus tear appeared in the field of view of the arthroscope. It turned out to be the kind of radial incision. The tear was difficult to see on MRI. Moreover, both sides of the tear were rolled up, and the cartilage of the femur was rolled up.

It was a mess.

And there's more than one opening.

At that time, Lu Chengcheng saw Fang Nixin's brows frown slightly, and seemed to feel that the current situation was very bad.

Lu Cheng also knew the current difficulty. Originally, the surgery Fang Nixin prepared was just a simple joint cleaning and meniscus shaping. But suddenly a meniscus suture appeared, which made it difficult for Fang Nixin, who had never done a meniscus surgery alone.

Fang Nixin was very panicked as she was being stitched up.

She had sutured the meniscus tear, but that was given to her by other teachers after other teachers had sutured and cleaned it. But now she is asked to decide whether to cut or sew alone, but it really gives her no choice.

Little pressure.

However, these situations were all expected before surgery.
Chapter completed!